Digital Literacy for Seniors Survey
Help us design a class that fits your schedule and learning needs. This program will help seniors build confidence using computers, smartphones, and the internet - all in a relaxed, supportive setting. Please complete this form by November 1.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Age Range
55-64
65-74
75-84
85+
Are you a member of Carter Temple? Note: You don't have to be a member to participate.
Yes
No
Have you taken a digital literacy or computer class before?
Yes
No
How would you describe your current comfort level with technology?
Beginner (I rarely use devices)
Intermediate (I use them but need guidance)
Advanced (I’m fairly comfortable but want to learn more)
What type of device(s) do you currently use? (Select all that apply)
Smartphone
Tablet/iPad
Laptop
Desktop Computer
None
What would you most like to learn? (Select up to 3)
Using email and video calls (Zoom, FaceTime, etc)
Internet safety and avoiding scams
Online bill pay and banking
Using social media (Facebook, Instagram, etc)
Taking and sharing photos
Using health apps or telehealth
Other
What days of the week work best for you? (Check all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
What time of day works best for you?
Morning (9:00am-11:00am)
Midday (11:30am-1:30pm)
Afternoon (2:00pm-4:00pm)
How often would you like the class to meet?
Once per week
Twice per week
Other
Do you have access to your own device for the class? Smartphone, laptop, or tablet/iPad
Yes
No
Would you need assistance with transportation?
Yes
No
Is there anything else you would like us to know about your interests or needs for this class?
Submit
Should be Empty: